Provider Demographics
NPI:1477363505
Name:WASS COUNSELING LLC
Entity type:Organization
Organization Name:WASS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:TAGGART
Authorized Official - Last Name:WASS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:978-857-3618
Mailing Address - Street 1:61 FALMOUTH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-8004
Mailing Address - Country:US
Mailing Address - Phone:978-857-3618
Mailing Address - Fax:
Practice Address - Street 1:61 FALMOUTH ST APT 2
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-8004
Practice Address - Country:US
Practice Address - Phone:978-857-3618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty